Treatment of noninfectious nonunion of tubular fractures with compression and distraction technique by external fixators
10.3760/cma.j.issn.1008-6706.2013.21.014
- VernacularTitle:外固定支架加压牵开术治疗长管状骨非感染性不愈合
- Author:
Haiou LYU
- Publication Type:Journal Article
- Keywords:
Tubular bone;
Fracture,ununited;
External fixators
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(21):3231-3233
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect and safety of compression and distraction technique by external fixation without grafting in treatment of noninfectious nonunion of tubular fractures.Methods 43 patients were randomly divided into 2 groups by visiting sequence with random number,odd into the observation group,even into the control group.The observation group(22 cases) adopted the external fixation retractor pressure treatment,the control group(21 cases) was given extemal fixation combined with locking plate treatment.The efficacy of two groups was compared.Results 43 patients were followed up for 6 ～ 15 months,average 7.5 months.The bone healing time was 3 ～ 14 months,average 5.1 months.43 patients were all healed.The total effective rate of the observation group was 81.8％,which was significandy higher than 66.7％ in the control group (Z =9.654,P =0.001).There were no significant differences in adverse reactions and complications between the two groups (x2 =0.068,P =0.795).Conclusion The compression and distraction technique by external fixation in the treatment of noninfectious nonunion of tubular fractures has obvious curative effect,it can be widely used in clinical practice.
